Active NPI
Firstchoice Physical Therapy and Sports Rehabiltation Inc
- Physical Therapy Clinic/Center
- Jacksonville, FL
National Provider Identifier
1871574426
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- License
- HCC1264
- Legal business name
- FIRSTCHOICE PHYSICAL THERAPY AND SPORTS REHABILTATION INC
- Practice address
- 11945 San Jose Blvd
Suite 202
Jacksonville, FL 32223-1613 - Phone
- (904) 880-2424
- Fax
- (904) 880-2420
- NPI assigned
- Nov 10, 2005
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Gerald Allen Stevens, ATC, LAT
- Title
- President/ Owner
- Phone
- (904) 880-2424
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Clinic/Center | 261QP2000X | HCC1264 | FL | Primary |
Addresses
Primary practice location
11945 San Jose Blvd
Suite 202
Jacksonville, FL 32223-1613
Mailing address
11945 San Jose Blvd
Suite 202
Jacksonville, FL 32223-1613
Phone (904) 880-2424
Other names 1
- FirstChoice Physical Therapy
National Provider Directory
National Provider DirectoryLocations
11945 San Jose Blvd
Ste 202
Jacksonville, FL 32223
Phone (904) 262-2249
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1131580800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1871574426",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11945 SAN JOSE BLVD",
"address_2": "SUITE 202",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322231613",
"telephone_number": "904-880-2424",
"fax_number": "904-880-2420"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11945 SAN JOSE BLVD",
"address_2": "SUITE 202",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322231613",
"telephone_number": "904-880-2424",
"fax_number": "904-880-2420"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FIRSTCHOICE PHYSICAL THERAPY AND SPORTS REHABILTATION INC",
"organizational_subpart": "NO",
"enumeration_date": "2005-11-10",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "STEVENS",
"authorized_official_first_name": "GERALD",
"authorized_official_middle_name": "ALLEN",
"authorized_official_title_or_position": "PRESIDENT/ OWNER",
"authorized_official_telephone_number": "904-880-2424",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "ATC, LAT"
},
"taxonomies": [
{
"code": "261QP2000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Physical Therapy",
"state": "FL",
"license": "HCC1264",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "FirstChoice Physical Therapy",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Jacksonville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.